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<br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
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<br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone 209 468-3420
<br /> Donna Heran,R.E.H.S.,Director
<br /> ' ENVIRONMENTAL HEALTH- f
<br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY
<br /> PERMIT TO OPERATE
<br /> Program Permit r b
<br /> ( .,, 9,. c: Permit
<br /> Record ID Number Program Code and Description ;<< ,4 .,r� ,.-�•. y �s " i , '�', Valid
<br /> PRO518336 PT0011970 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/2009 To 12/31/2009
<br /> Hazardous Waste Generator Program:
<br /> In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div.20,Chap.6.5,Art.2-13,
<br /> Sec.25100 et seq,_and Title 22,California Code of Regulations,Chap.20--------------------------R0231442 2300-UNDERGROUND STORAGE TANK FACILITY 3
<br /> .,4h,.a �'"� y 7 � 1/1/2009 To 12/31/2009
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<br /> Underground Storage Tank Program: , r�
<br /> California Health and Safety Code, Div.20,Chap.- and Title 23,California Code of Regulations Cha 16
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<br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection
<br /> 2362 1 390002314420144201 PT0004477 10,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 2 390002314420144202 PT0004478 10,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring
<br /> 2360 3 390002314420144203 PT0004479 8,000 PREMIUM UNLEADED Active,billable a`;,DOUBLE WALLED Continuous Interstitial Monitoring
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<br /> Underground Storage Tank Permit
<br /> Conditions "' `,_ # �
<br /> -;$�' 100.:
<br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions.
<br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any conditions
<br /> established by San Joaquin County.
<br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both
<br /> the Tank Owner and tank Operator receive a copy of the permit.
<br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department(EHD)and are considererd UST Permit Conditions The approved '
<br /> monitoring,response,and plot plans shall be maintained onsite with the permit.
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<br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. t r"vr s
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<br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and
<br /> provide documentation of such servicing to this office.
<br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency Response Plan.
<br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was
<br /> performed.
<br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change
<br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification of
<br /> revocation. x
<br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. 4
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<br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit.
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<br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. '
<br /> 14) A"Conditional"Permit maybe revoked if corrections specified on the inspection report are not completed by the date(s) indicated. ri i
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<br /> PERMITS TO OPERATE are NOT TRANSFERABLE
<br /> and may be SUSPENDED or REVOKED for cause ,
<br /> PERMIT(s)Valid only for: QUIK STOP MARKETS INC
<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> ;' Regulated Facility: QUIK STOP#124* "�T`v ' ` * " Facility ID FA0006441
<br /> ^ y tis 505 N MAIN ST x � � � ��' _ � :Account ID AR0008428. ._,.
<br /> `t MANTECA CA 95336Issued
<br /> }' 2/4/2009
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<br /> Billing Address: )ki `A
<br /> QUIK STOP #124* ',+wx � fc i t
<br /> mr: s � 4567 ENTERPRISE STS ':
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<br /> 7023.rpt ..; tr» `�
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